Dual Diagnosis
Dual Diagnosis Treatment in Maryland, Mental Health and Addiction Handled Together
Dr. Hardik Yadav, MD
Board-Certified Psychiatrist · Addiction Medicine (ABPM) · Maryland
Medically reviewed by Dr. Hardik Yadav, MD, Board-Certified Psychiatrist licensed in Maryland | 15+ Years Experience | Last Updated: July 2026
When a mental health condition and a drinking or drug problem run together, the care usually splits in two. You tell the story once to a psychiatrist and again to a program, and you can end up waiting to be treated for the depression until the drinking is dealt with, while the drinking is what the depression is feeding. Dr. Hardik Yadav, MD, is a Board-Certified Psychiatrist and an Addiction Medicine Specialist, so both sides belong to the same appointment. Care happens by video, anywhere in Maryland, with evening and weekend times open.
If you are in a crisis or emergency
If you are experiencing a mental health crisis or thinking about harming yourself, call or text 988, the Suicide and Crisis Lifeline, available 24/7, or call 911. Ansh Health Associates does not provide emergency or crisis services and cannot respond to emergencies.
Co-Occurring Mental Health and Substance Use, Treated in the Same Visit
Split care is the ordinary experience of a dual diagnosis. The psychiatric side sits with one provider and the substance use sits with another, on separate schedules, and the two rarely speak to each other. Dr. Hardik Yadav, MD, holds both credentials himself. He is a Board-Certified Psychiatrist, and his addiction credential is in Addiction Medicine, through the American Board of Preventive Medicine. That means the evaluation, the psychiatric prescription, and the Suboxone or alcohol-use medication all sit with the same person, in the same appointment. He treats co-occurring conditions at the same time instead of in sequence, which is where he finds the earliest relief tends to come.
What Counts as a Dual Diagnosis, or Co-Occurring Disorder
A dual diagnosis, also called a co-occurring disorder, means a mental health condition and a substance use disorder are present at the same time. They tend to feed each other. Alcohol quiets anxiety for an hour and hands it back heavier in the morning. With opioids, the weight of depression lifts for a while, then settles back down harder. Untreated ADHD can make a substance feel like the first thing that ever let you function properly.
Dr. Yadav evaluates and treats the psychiatric side of that pairing, including depression, bipolar disorder, anxiety, PTSD, OCD, and adult ADHD. He also treats the substance use side, including alcohol use disorder, opioid use disorder, and smoking. When they show up together, he treats them as one problem.
A 60-Minute Evaluation That Looks at Both Halves of the Picture
Your first appointment runs a full 60 minutes with Dr. Yadav. He takes a detailed personal and family history, asks what you're drinking or using and what it does for you, and looks for what tends to hide underneath a substance problem: an anxiety disorder, a personality disorder, a thyroid condition, anemia, low B12, or a medication interaction that has quietly been undoing a prior prescription. Screening for substance use is a standard part of how he works up a depression. Where a rating scale earns its place, he uses one. PHQ-9 for depression, GAD-7 for anxiety, ASRS for ADHD, and MDQ for bipolar disorder, repeated at follow-ups so the progress is measured.
Psychiatric Medication and Suboxone, Managed by the Same Prescriber
When two practices treat two conditions, nobody is holding the whole medication list, and that is where interactions go unnoticed. Dr. Yadav prescribes both sides. He provides Suboxone maintenance for opioid use disorder and medication for alcohol use disorder, alongside the medication for the psychiatric condition, and he reviews the full list for interactions as part of the plan. For ADHD he prescribes stimulant and non-stimulant options, including Wellbutrin XL, Strattera, Intuniv, and Viloxazine. Treating the ADHD often eases the depression or anxiety that grew on top of it, and some of his patients have come off an antidepressant they turned out not to need. Where it would sharpen the choice, he can order genetic testing to see how your body processes a given medication. Most of his patients notice a difference within their first two to four appointments.
Privacy When the Diagnosis Is Substance Use
A substance use diagnosis is not something most people want sitting in a file their employer's plan can reach. Because Ansh Health Associates is out-of-network and cash-pay, no claim is ever filed with your insurer on your behalf, which leaves the decision with you. Submit the superbill and your insurer sees the diagnosis in exchange for reimbursement. Skip it, pay out of pocket, and your treatment stays between you and Dr. Yadav. The video platforms are HIPAA-compliant. Appointments happen from home, or behind a closed door at work, anywhere in Maryland, with medication check-ins running about 30 minutes and evening and weekend times available. Starting Suboxone or an ADHD medication here requires no in-person visit. Dr. Yadav does this work without judgment, and he is straight with you when a situation calls for more than outpatient telehealth can safely give, in which case he refers you to it.
Dr. Hardik Yadav, MD, Board-Certified Psychiatrist and Addiction Medicine Specialist
Dr. Yadav completed his psychiatry residency at the University of Louisville and earned a Master of Public Health from the University of Texas Health Science Center at Houston. His addiction credential is in Addiction Medicine, through the American Board of Preventive Medicine, which is what puts the substance use half of a dual diagnosis inside his own practice. He has 15 years of clinical experience, including work in the corrections system, where co-occurring psychiatric illness and substance use are common and severe. The psychiatrist who evaluates you is the one who writes the prescriptions and sees you at every follow-up, so your history stays with the person treating you.
What Dual Diagnosis Treatment Costs, and How Out-of-Network Works
Ansh Health Associates lists its rates before you book. The initial 60-minute evaluation is $350, and each 30-minute medication follow-up is $200. Dr. Yadav does not participate in insurance plans, so payment is made in full before the visit, by credit, debit, or HSA or FSA card. Afterward you can request a superbill to submit to your insurance company for out-of-network reimbursement, and the practice lists the commonly used CPT codes and Tax ID your insurer will ask for. What comes back depends on your individual plan and carrier. The free 15-minute consult is there to talk through your situation and the cost before you commit to anything.
“When a mental health condition and a substance problem run together, splitting the care between two providers is what keeps people stuck. I hold both credentials, so both sides belong to the same appointment.”
Dr. Yadav is a Board-Certified Psychiatrist and an Addiction Medicine Specialist (American Board of Preventive Medicine), with an MD, a Master of Public Health, and over 15 years of experience that includes complex cases in the corrections system. Every visit across Maryland is with him directly, by video.
Questions
Frequently Asked Questions
- What is a dual diagnosis?
- A dual diagnosis, also called a co-occurring disorder, is a mental health condition and a substance use disorder present at the same time, such as depression alongside alcohol use disorder, or anxiety alongside opioid use. Dr. Hardik Yadav, MD, evaluates and treats both conditions together.
- Do I have to be sober before I can get treated for depression or anxiety?
- No. Dr. Yadav treats the psychiatric condition and the substance use together, and in his experience that is what gets a patient feeling better soonest.
- Can I get dual diagnosis treatment by telehealth in Maryland?
- Yes. Dr. Yadav treats co-occurring conditions entirely by video for patients anywhere in Maryland, medication included. Starting Suboxone or an ADHD medication requires no in-person visit.
- Can he prescribe Suboxone and psychiatric medication at the same time?
- Yes. He prescribes both sides and reviews your full medication list for interactions, which is one of the practical reasons a single prescriber matters when two conditions overlap.
- What if I need more than outpatient care?
- Dr. Yadav is honest about what outpatient telehealth can and cannot safely carry. If your situation calls for detox, inpatient treatment, or a higher level of support, he will say so and refer you.
- Do you take insurance?
- No. Ansh Health Associates works out-of-network, with the initial 60-minute evaluation at $350 and 30-minute follow-ups at $200, paid in full before the visit. You can request a superbill to file with your insurer for out-of-network reimbursement, and the free 15-minute consult is a no-cost way to work out the details first.
Start with a free 15-minute consult
Disclaimer: This information is provided for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please schedule a consultation with our team to discuss your individual needs.